10,187 Chain-Owned Nursing Homes in the United States

Nurse hours

4.96 /day

Staff turnover

51%

Serious cites

0

Trinity Elms runs a church-affiliated nonprofit home in Clemmons with 100 certified beds, and the staffing is the clearest strength here: 4.96 nurse hours per resident day, about 28% above the national average, with weekend coverage dipping only slightly below weekdays. That's a real cushion. The rest of the picture is thinner. Roughly half the nursing staff turned over in the past year, a bit worse than the national rate, and the current inspection record carries 14 deficiencies, including two at the harm level and one tied to abuse, along with $15,646 in fines. Quality measure scores sit at the low end. Good coverage, uneven execution.

Nurse hours

3.45 /day

Staff turnover

84%

Serious cites

0

Prince of Peace Care Center in Ellendale is a 55-bed nonprofit home, and the numbers tell a mixed story. Nurse staffing sits at 3.45 hours per resident per day, about 11% under the national average, and weekends run roughly 12% thinner than weekdays. The bigger concern is turnover: 83.6% of staff leave each year, nearly double the national rate, which makes it hard to keep consistent caregivers. The quality measures look strong, but four deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy. The last inspection was recent, in April 2026, so that picture is current.

Nurse hours

5.09 /day

Staff turnover

49%

Serious cites

0

Baptist Health & Rehab runs a solidly staffed building on paper, about 5.09 nurse hours per resident day, roughly a third more than the national average, and weekend coverage stays within about 9% of weekday levels, so care doesn't drop off as sharply as it does at many homes. The trouble sits elsewhere. State inspectors have logged 16 deficiencies on the current record, four of them serious enough to put residents in harm's way and two tied to abuse, with $35,323 in fines across three penalties. Staff turnover, at 49.3%, runs slightly above the national figure, and the most recent inspection dates to April 2025. That mix, strong hours, harder inspection history, is what holds the grade down.

Nurse hours

3.49 /day

Staff turnover

36%

Serious cites

0

Life Care Center of Westlake runs a 119-bed for-profit operation where nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average of 3.86, and weekends dip about 12 percent below the home's own weekday coverage. Turnover is the brighter spot: 36.3 percent against a national 45.8 percent. But the inspection record carries 32 deficiencies, six of them abuse-related, and the last full inspection was October 2023, so that count reflects conditions that may or may not have been corrected since. The quality measure rating of 4 out of 5 looks good on paper; the 2 out of 5 on health inspections tells a different story. Ask about weekend coverage specifically, and ask what changed after that 2023 survey.

Nurse hours

3.47 /day

Staff turnover

45%

Serious cites

0

Three Rivers runs 119 certified beds under corporate for-profit ownership, and its nurse staffing sits about 10% under the national average, 3.47 hours per resident day against 3.86. Weekends dip roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 44.9%, essentially the national rate, so this isn't a retention crisis, just steady churn. What stands out is the inspection record: 49 deficiencies, including one at the harm or jeopardy level and nine tied to abuse. The last inspection was February 2025, so the record is recent. Its quality measure score is perfect, which mostly reflects charted clinical data, a sharp contrast with the staffing and inspection results.

Nurse hours

3.43 /day

Staff turnover

52%

Serious cites

0

Kenwood Terrace runs on thinner staffing than most homes, 3.43 nurse hours per resident day against a national average of 3.86, and weekends dip about 8% below what the building manages on weekdays. Annual turnover sits at 52.3%, well above the 45.8% national figure, so the people caring for residents change often. The inspection record is where the numbers get harder to overlook: 51 deficiencies, two involving actual harm or jeopardy and two tied to abuse, with the most recent inspection in February 2025. The quality measure stars look strong, but those depend on the staff who report them.

Nurse hours

3.35 /day

Staff turnover

25%

Serious cites

0

Laurels of Norworth runs 126 beds in Worthington, and its health inspection record is the problem: 48 deficiencies, five of them serious enough to put residents in harm's way, plus two tied to abuse. Federal fines total $51,871. Staffing tells a mixed story, 3.35 nurse hours per resident day sits about 13% under the national average, and weekends run thinner still. Turnover is the bright spot at 24.7%, well below the national rate. Quality measures score well, but that inspection history and thin coverage matter more when you're deciding who cares for someone you love. Ask about weekend staffing and how they've fixed the abuse findings before you tour.

Nurse hours

3.57 /day

Staff turnover

37%

Serious cites

0

Wapakoneta Manor runs 3.57 nurse hours per resident per day, roughly 8% under the national average of 3.86, and weekends dip about 6% below its own weekday staffing. That thinner coverage matters more than the headline number, since care doesn't pause on Saturdays. Turnover sits at 36.5%, better than the 45.8% national figure, which suggests a relatively stable crew for a for-profit corporate home. Inspections are current as of May 2024, with 14 deficiencies on record, one serious enough to reach harm or jeopardy level and none tied to abuse. Its last two inspection and quality-measure star ratings came in at 4 out of 5, so the clinical picture looks stronger than the staffing numbers alone would imply.

Nurse hours

3.47 /day

Staff turnover

44%

Serious cites

0

Vancrest Health Care Center runs 93 certified beds in Van Wert under corporate ownership, and its last inspection was recent enough (May 2025) that the record reflects current conditions. That record shows 22 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Where the home stands out is quality measures, which earn a top federal rating, and inspections, which score well above average. Staffing is the weak point: 3.47 nurse hours per resident day sits about 10 percent under the national figure, and weekends dip roughly 13 percent below the home's own weekday coverage. Turnover at 43.5 percent is slightly better than the national rate, so the concern isn't retention so much as how many hands are scheduled on any given shift.

Nurse hours

3.65 /day

Staff turnover

53%

Serious cites

0

O'Neill Healthcare Lakewood runs 114 certified beds under individual for-profit ownership, and its staffing numbers are the main thing to know. Nurses provide 3.65 hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday levels, which is when gaps tend to show up. Annual turnover sits at 52.7%, well above the 45.8% national figure, so the people caring for your family member change often. The health inspection rating is 3 out of 5, with 25 deficiencies on the current record, including one abuse-related citation, though none rose to harm or jeopardy. The last inspection was in August 2023. Resident outcome measures score well; staffing doesn't.

Nurse hours

3.96 /day

Staff turnover

40%

Serious cites

0

Altercare Post-Acute Rehab Center sits in Kent with 79 certified beds and a corporate for-profit owner. The numbers that matter most here are clean: five deficiencies on record, none causing harm or involving abuse, and a state inspection completed in July 2025. Nurse staffing runs 3.96 hours per resident day, slightly above the national average, though weekends dip about 12% below weekdays, worth asking about if your family visits then. Staff turnover is 39.5%, better than the 45.8% national figure, which suggests people tend to stay. The trade-off is staffing depth: the government rates that piece 3 out of 5, even as inspections and quality measures both earn top marks.

Nurse hours

3.63 /day

Staff turnover

35%

Serious cites

0

Smithville Western runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends dip roughly 10% below its own weekday staffing. Turnover sits at 34.6%, which is better than the 45.8% national figure, and the last inspection was in July 2024. What holds the record back is the inspection history: 38 deficiencies, including one at the harm level and one abuse-related, plus a $42,777 fine. For-profit corporate ownership. The quality and staffing scores look strong on paper, so the real question is whether the care gaps that produced those 38 findings have actually been fixed.

Nurse hours

3.56 /day

Staff turnover

41%

Serious cites

0

Maria Joseph Living Care Center runs 266 certified beds in Dayton under corporate for-profit ownership, and its strongest numbers sit on the clinical side, the federal quality measures come in at the top of the scale. Staffing is a different story. At 3.56 nurse hours per resident day, it runs about 8% under the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage. Turnover of 40.8% is better than the 45.8% national figure, so the workforce is comparatively stable even if it's thin. The current record shows 28 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in June 2023.

Nurse hours

3.70 /day

Staff turnover

44%

Serious cites

0

Marion Pointe runs 45 certified beds in Marion County under corporate for-profit ownership, and its 3.70 nurse staffing hours per resident day sit about 4% under the national average of 3.86. Weekends get thinner still, roughly 15% below the home's own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. The current inspection record shows 22 deficiencies, though none at the harm level and none abuse-related, and the last survey was recent. Annual turnover at 44.2% is a hair better than the 45.8% national figure, which is faint praise in a field where that's normal.

Nurse hours

3.54 /day

Staff turnover

47%

Serious cites

0

Maple Knoll Village sits in Cincinnati with 80 certified beds and a nonprofit owner, and its inspection record is decent, 21 deficiencies total, though one reached harm-or-jeopardy level and one was abuse-related. The bigger issue is staffing: 3.54 nurse hours per resident day runs about 8% below the national average of 3.86, and weekends dip roughly 6% below its own weekday levels. Turnover sits at 46.9%, slightly above the national 45.8%. Federal quality measures score well and the last inspection was December 2023, so nothing here looks recent or unresolved. What you're weighing is a home that inspects fine but runs leaner on direct care than most.

Nurse hours

3.31 /day

Staff turnover

35%

Serious cites

0

Shawnee Manor runs 137 beds in Lima under corporate for-profit ownership, and its last health inspection came in February 2025, recent enough that the findings are worth trusting. Inspectors logged 20 deficiencies, but none rose to actual harm or jeopardy, and none involved abuse, which matters more than the raw count. Staffing is the weak spot: 3.31 nurse hours per resident day sits about 14% under the national average, and weekends drop another 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 35.4% is better than the 45.8% national figure, which suggests the aides who are there tend to stay.

Nurse hours

3.59 /day

Staff turnover

53%

Serious cites

0

The Laurels of Middletown runs 109 beds under corporate for-profit ownership, and its numbers pull in different directions. Nurse staffing sits at 3.59 hours per resident per day, roughly 7% under the national average, with weekends about 10% thinner than weekdays, a pattern families often notice when visiting. Staff turnover is 52.9% against a national 45.8%, so caregivers change often. On the clinical side, the 5/5 quality measure rating is genuinely strong, but that comes alongside 42 deficiencies on the current record, two of them serious enough to involve harm or jeopardy. The last inspection was May 2024, so that record is reasonably current.

Nurse hours

3.46 /day

Staff turnover

35%

Serious cites

0

The Respiratory and Nursing Center of Dayton runs 3.46 nurse hours per resident day, about 10 percent under the national average of 3.86, and weekend coverage dips roughly 12 percent below its own weekday levels. That thin margin is the main reason its staffing rating sits at 2 out of 5, even though its quality measures score 5 out of 5, those two things often pull in different directions. Turnover is 35.3 percent, better than the 45.8 percent national figure, so the people who stay tend to stay. Its last inspection was September 2024, with 22 deficiencies on record, none at the harm level but one abuse-related. For-profit corporate ownership, 82 beds, and a staffing picture that's the weak spot here.

Nurse hours

3.46 /day

Staff turnover

64%

Serious cites

0

Otterbein Portage Valley runs 50 beds in Pemberville as a nonprofit, and its record is a mixed bag. The clinical quality measures are genuinely strong, that CMS quality star sits at 5 out of 5, but nurse staffing comes in at 3.46 hours per resident day, about 10 percent under the national figure, and weekends run roughly 11 percent thinner than weekdays. Turnover is the bigger concern: 64.4 percent annually against a national average of 45.8 percent, meaning nearly two-thirds of staff left within the year. The current inspection record carries 27 deficiencies, including one at the harm level and one tied to abuse, though the most recent inspection was June 2025.

Nurse hours

3.30 /day

Staff turnover

36%

Serious cites

0

Ayden Healthcare of Belle Springs runs 99 certified beds in Bellefontaine under corporate for-profit ownership, and its nurse staffing sits at 3.30 hours per resident day, about 14% under the national average. Weekends dip roughly 8% below the home's own weekday coverage, so the thinnest shifts are predictable. Turnover at 36.1% beats the national 45.8%, which suggests some stability in who's actually showing up. The current record carries 21 deficiencies, including one at harm or jeopardy level and two tied to abuse; the last inspection was March 2025. CMS gave quality measures 5 out of 5 stars, but health inspections and staffing each landed at 3.